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General NPI Number Information
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NPI Number | 1649785635
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Entity Type | Individual
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Provider Name | DELPHIE NICOLE MORALES LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/12/2017
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Last Update Date | 11/21/2020
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Provider Practice Location Address
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Address Line | 2010 LINCOLN PARK AVE
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City | LOS ANGELES
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State | CA
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Zip | 90031-3119
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Country | US
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Telephone | 323-810-0268
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 92142
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City | PASADENA
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State | CA
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Zip | 91109-2142
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Country | US
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Telephone | 626-345-4539
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 80582
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License Number State | CA
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